This part of algorithm outlines the decision-making process an individual would take in determining whether the Mirena is the best birth control method for them. It takes the user through the medical factors, lifestyle considerations, and costs that may affect their choice to use Mirena. This process requires a holistic approach, as many women use birth control methods for reasons broader than pregnancy prevention. It is crucial that all patients go through the process outlined here before Mirena can be inserted. Once it is determined that the Mirena is right for them, the individual should make an appointment with their doctor to insert the device.


* Mirena is contraindicated if the patient has any of the following pre-existing conditions: Pregnancy or suspicion of pregnancy, a history of pelvic inflammatory disease or conditions which increase your susceptibility to pelvic infections, an unresolved abnormal Pap smear, unresolved genital bleeding, postpartum endometritis or infected abortion in the past 3 months, untreated cervicitis or vaginitis, acute liver disease or liver tumor, known/suspected carcinoma of the breast, a previously inserted IUD that has not been removed, congenital or acquired uterine anomalies, known/suspected uterine or cervical neoplasia, hypersensitivity to any components of Mirena.

** Mirena contains levonorgestrel, which is used to treat the following conditions: Polycystic Ovary Syndrome (PCOS), endometriosis, excessive bleeding, abnormal growth of the lining of the uterus (endometrial hyperplasia), abnormal growth of the lining of the uterus into the muscular wall of the uterus (adenomyosis), and fybroids. 


“Mirena.” 2008. Bayer HealthCare Pharmaceuticals Inc. 021225s019lbl.pdf

Rinkunas, Susan. 2016. “11 Questiong to Ask Yourself Before Getting an IUD.” THE CUT. -control-read-this.html